Effects of Different General Anesthesia Methods on Immune Responses in Patients Undergoing Surgery for Tongue Cancer
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Percentages of immune cells
研究概览
简要总结
Surgical excision is the mainstay of treatment for tongue cancer. However, surgery-induced immunosuppression has been implicated in the development of post-operative septic complications and neoplasm metastasis. General anesthesia is considered to not only suppress surgical stress, but also affect the immune function directly,such as altering the number and activity of immune cells. It is reported that some anesthetics increase susceptibility to tumor metastasis, apparently by suppressing natural killer cell activity. Different anesthetic techniques and anesthetics used in anesthesia have shown different effects on immunity. Many of the studies were animal trials or performed in vitro; in addition, most are focused on a single drug. To date, there is little published prospective clinical research designed specifically to investigate the effects of different general anesthetic technique on immune function in patients with oral malignant tumors. The aim of this study is going to characterize the immune response of patients undergoing surgery for tongue cancer under 3 types of general anesthesia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All the patients were scheduled for elective surgery for tongue cancer under general anesthesia. None of the patients had a history of endocrine, immune and circulatory system diseases;
排除标准
- •were also contraindications for receiving chemotherapy
- •Exclusion Criteria:
- •contraindications for receiving chemotherapy,
- •receiving perioperative blood transfusion, or
- •preoperative and perioperative treatment with hormones and immunomodulatory agent.
- •Patients who suffered from any surgical complications such as infection were also excluded from our study.
研究组 & 干预措施
inhalational anesthesia
inhalational anesthesia
干预措施: inhalational anesthesia (Procedure)
combined intravenous-inhalational anesthesia
combined intravenous-inhalational anesthesia
干预措施: combined intravenous-inhalational anesthesia (Procedure)
intravenous anesthesia
intravenous anesthesia
干预措施: intravenous anesthesia (Procedure)
结局指标
主要结局
Percentages of immune cells
时间窗: 3 days
30 min before induction, 1 h, 3 h and 5 h after induction; at the end of operation and 24h, 48 h and 72 h after operation
次要结局
- Percentages of T lymphocytes subsets(3 days)
- Percentages of Natural Killer cells(3 days)
- Percentages of B lymphocytes(3 days)
研究者
tiejun Zhang
Department of Anesthesiology , School and Hospital of Stomatology, Wuhan University
Wuhan University
